Organization
ORTHOSTAT, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA MILAGROS MEDRANO (PRESIDENT)
(321) 939-3244
Entity
Organization
Contact information
Practice address
610 SYCAMORE ST STE 130, CELEBRATION, FL 34747-4984
(877) 606-7846
(407) 816-5893
Mailing address
610 SYCAMORE ST STE 130, CELEBRATION, FL 34747-4984
(877) 606-7846
(407) 816-5893
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9302068
AETNA
FL
01
—
M2815
BC/BS
FL
Enumeration date
06/21/2007
Last updated
02/04/2022
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